Individual
VIRGINIA PETTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PNP-PC
Contact information
Practice address
1995 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2405
(803) 928-5525
Mailing address
11 YEADON AVE, CHARLESTON, SC 29407-7327
(423) 802-7524
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28786
SC
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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